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WHO Upholds Guidance: Women With or at Risk of HIV Can Safely Use Hormonal Methods
WHO released a statement on February 16, 2012, upholding guidance indicating that women with HIV or at high risk of HIV can safely use hormonal contraceptives, including injectables, to prevent pregnancy. However, WHO is instructing health care providers to strongly advise such women who decide to use progestin-only injectables to also always use male or female condoms for protection against HIV. Read more about WHO's statement.
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Injectables
It needs training but idea is good
Injectables use
Women using DMPA have an injection every three months (four times a year)
Women using NET-EN have the first injection within the first 5 days of a cycle, the next three injcetions are to be given at intervals of 8 weeks, all further injections are required every 12 weeks
Additional information to post
Jim Shelton of USAID has issued a new Pearl on injectables (11/24/09)that you can include in the Essential knowledge page:
Q: We are impressed with the popularity of injectable contraceptives among our clients and would like for our community health workers to provide DMPA in the community. Is there precedent and evidence-based support for this idea?
A: Yes. In June 2009 WHO, USAID and FHI convened a technical consultation in Geneva to examine the available scientific evidence and programmatic experience. Their main overall conclusion:
"Given appropriate and competency-based training, CHWs can screen clients selectively, provide DMPA injections safely, and counsel on side effects appropriately, demonstrating competence equivalent to facility based providers of progestin-only injectables."
English and French versions of the report "Community-based health workers can safely and effectively administer injectable contraceptives" are attached. [Note the one in English is already posted under Essential Knowledge.]
USAID
Science Advisor, Bureau for Global Health
Jim Shelton